E. Massawe, Happy E. Somboi, Asterius Muganyizi, Petra Joseph
Introduction: Chronic rhinosinusitis is inflammation of the nasal cavity and paranasal sinuses that lasts for at least twelve weeks. Paranasal sinus variations account for various pathologies, including chronic rhinosinusitis. This study assessed the anatomical variations of paranasal sinuses among patients with chronic rhinosinusitis attending otorhinolaryngology services in a tertiary hospital in Tanzania. Method: This was a descriptive prospective cross-sectional study of 120 patients aged 15 years and above who fulfilled the Rhinosinusitis Task Force criteria. A structured checklist was used to collect socio-demographic characteristics and clinical presentations. Cone-beam computed tomography scan and the Lund-Mackay scoring system were used. Data analysis was done using SPSS version 26, and p-values <0.05 were considered statistically significant. Results: A total of 120 patients were enrolled with a median age of 37 (IQR 27-52) years, with 40% aged 30-49 years. There were 65 (54.2%) males, and 55 (45.8%) females. Maxillary sinuses were affected in 85.8% of all patients with chronic rhinosinusitis. The overall proportion of anatomical variation was 53.3%, with concha bullosa, deviated nasal septum, Onodi cells, and septal spur being the most common, accounting for 40.6%, 25.0%, 23.4%, and 20.3%, respectively. Twenty-four patients with concha bullosa had chronic maxillary rhinosinusitis, with 14 (58.3%) having ipsilateral rhinosinusitis. Conclusion: Half of the patients had one or more paranasal sinus anatomical variations. The most common variants were concha bullosa followed by deviated nasal septum. Onodi cells and septal spurs were rarely identified. Most patients with concha bullosa had ipsilateral maxillary sinusitis.
{"title":"Paranasal sinuses in patients with chronic rhinosinusitis,Tanzania","authors":"E. Massawe, Happy E. Somboi, Asterius Muganyizi, Petra Joseph","doi":"10.4314/ssmj.v17i1.4","DOIUrl":"https://doi.org/10.4314/ssmj.v17i1.4","url":null,"abstract":"Introduction: Chronic rhinosinusitis is inflammation of the nasal cavity and paranasal sinuses that lasts for at least twelve weeks. Paranasal sinus variations account for various pathologies, including chronic rhinosinusitis. This study assessed the anatomical variations of paranasal sinuses among patients with chronic rhinosinusitis attending otorhinolaryngology services in a tertiary hospital in Tanzania. \u0000Method: This was a descriptive prospective cross-sectional study of 120 patients aged 15 years and above who fulfilled the Rhinosinusitis Task Force criteria. A structured checklist was used to collect socio-demographic characteristics and clinical presentations. Cone-beam computed tomography scan and the Lund-Mackay scoring system were used. Data analysis was done using SPSS version 26, and p-values <0.05 were considered statistically significant. \u0000Results: A total of 120 patients were enrolled with a median age of 37 (IQR 27-52) years, with 40% aged 30-49 years. There were 65 (54.2%) males, and 55 (45.8%) females. Maxillary sinuses were affected in 85.8% of all patients with chronic rhinosinusitis. The overall proportion of anatomical variation was 53.3%, with concha bullosa, deviated nasal septum, Onodi cells, and septal spur being the most common, accounting for 40.6%, 25.0%, 23.4%, and 20.3%, respectively. Twenty-four patients with concha bullosa had chronic maxillary rhinosinusitis, with 14 (58.3%) having ipsilateral rhinosinusitis. \u0000Conclusion: Half of the patients had one or more paranasal sinus anatomical variations. The most common variants were concha bullosa followed by deviated nasal septum. Onodi cells and septal spurs were rarely identified. Most patients with concha bullosa had ipsilateral maxillary sinusitis. ","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"214 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140449730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Address risk factors as part of clinical practice to prevent stroke","authors":"E. Hakim","doi":"10.4314/ssmj.v17i1.1","DOIUrl":"https://doi.org/10.4314/ssmj.v17i1.1","url":null,"abstract":"No Abstract","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"26 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140450582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Stroke is one of the leading causes of death and disability in lowand middle-income countries (LMICs). The proven efficacy for rehabilitation interventions in improving stroke outcomes in LMICs supports the need to strengthen the rehabilitation workforce. Low-cost physical rehabilitation interventions requiring minimal resources, self-rehabilitation, tele-rehabilitation and involvement of family and other carers can be a solution and improve functional outcomes. Method: A literature search using the terms Stroke and Rehabilitation were carried out by the Chief Librarian at St. Richard’s Hospital, the University Hospital Sussex. Four databases, namely Ovid Medline, EMBASE, CINAHL and Ebsco CINAHL, were searched using appropriate subject headings and free text terms such as stroke and rehabilitation . We used free text terms to look for concepts synonymous with rehabilitation in LMICs. We did not search for individual countries or continents/sub-continents. Results: Relevant results from 2015 to current were included. Twenty articles were finally chosen which included the most relevant and useful information for the purpose of this article. Conclusion: Populations in LMICs are exposed to health systems which do not include rehabilitation services. In addition, there are personal barriers to accessing quality stroke rehabilitation that could improve stroke survival and functional outcomes. Although there have been some improvements in the development of stroke rehabilitation in some LMICs, further investment is required to ensure that LMICs continue to receive the best quality rehabilitation services. There are measures that can be put in place to reduce these deficiencies. Collaboration between LMICs and developed countries has been growing but this needs to be extended, especially in training doctors in Rehabilitation Medicine and upskilling therapists. The World Health Organisation Rehabilitation 2030 is an action plan to scale up rehabilitation so that countries, especially LMICs, can be better prepared to address the evolving rehabilitation needs of populations by 2030.
{"title":"Stroke rehabilitation in low resource countries: time to provide an organised service","authors":"Mehran Maanoosi","doi":"10.4314/ssmj.v17i1.6","DOIUrl":"https://doi.org/10.4314/ssmj.v17i1.6","url":null,"abstract":"Introduction: Stroke is one of the leading causes of death and disability in lowand middle-income countries (LMICs). The proven efficacy for rehabilitation interventions in improving stroke outcomes in LMICs supports the need to strengthen the rehabilitation workforce. Low-cost physical rehabilitation interventions requiring minimal resources, self-rehabilitation, tele-rehabilitation and involvement of family and other carers can be a solution and improve functional outcomes. \u0000Method: A literature search using the terms Stroke and Rehabilitation were carried out by the Chief Librarian at St. Richard’s Hospital, the University Hospital Sussex. Four databases, namely Ovid Medline, EMBASE, CINAHL and Ebsco CINAHL, were searched using appropriate subject headings and free text terms such as stroke and rehabilitation . We used free text terms to look for concepts synonymous with rehabilitation in LMICs. We did not search for individual countries or continents/sub-continents. \u0000Results: Relevant results from 2015 to current were included. Twenty articles were finally chosen which included the most relevant and useful information for the purpose of this article. \u0000Conclusion: Populations in LMICs are exposed to health systems which do not include rehabilitation services. In addition, there are personal barriers to accessing quality stroke rehabilitation that could improve stroke survival and functional outcomes. Although there have been some improvements in the development of stroke rehabilitation in some LMICs, further investment is required to ensure that LMICs continue to receive the best quality rehabilitation services. There are measures that can be put in place to reduce these deficiencies. Collaboration between LMICs and developed countries has been growing but this needs to be extended, especially in training doctors in Rehabilitation Medicine and upskilling therapists. The World Health Organisation Rehabilitation 2030 is an action plan to scale up rehabilitation so that countries, especially LMICs, can be better prepared to address the evolving rehabilitation needs of populations by 2030. ","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"2 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139958864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hepatocellular carcinoma (HCC) is the sixth most common type of cancer and the third leading cause of death worldwide. It is especially prevalent in developing countries, with around 80% of cases occurring in Asia and Africa. Aflatoxin B1 is a well-documented risk factor for HCC, among other factors. In Sudan, there is limited reliable and comprehensive data on cancer epidemiology, including HCC. This paper focuses on the current status of HCC in Sudan, specifically in relation to aflatoxin. Additionally, recommendations are provided to enhance the control measures for HCC in the country.
{"title":"Hepatocellular carcinoma and aflatoxin in Sudan: The way forward","authors":"M. Elhassan","doi":"10.4314/ssmj.v17i1.5","DOIUrl":"https://doi.org/10.4314/ssmj.v17i1.5","url":null,"abstract":"Hepatocellular carcinoma (HCC) is the sixth most common type of cancer and the third leading cause of death worldwide. It is especially prevalent in developing countries, with around 80% of cases occurring in Asia and Africa. Aflatoxin B1 is a well-documented risk factor for HCC, among other factors. In Sudan, there is limited reliable and comprehensive data on cancer epidemiology, including HCC. This paper focuses on the current status of HCC in Sudan, specifically in relation to aflatoxin. Additionally, recommendations are provided to enhance the control measures for HCC in the country.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"17 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140450738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Mohammed, Ibrahim Abdelrhim Ali, Abdarahiem A. Abeadalla, O. Musa
Introduction: Serum creatinine and urea levels are affected by numerous factors such as ethnicity, environment, age, sex, and anthropometric measurements. The Clinical and Laboratory Standards Institute (CLSI) recommends that each laboratory should establish its own reference intervals for biochemistry and haematology. There are no local reference intervals for serum creatinine and blood urea in Sudan; instead, intervals derived from worldwide research are used. The purpose of this study was to determine the blood urea and serum creatinine reference intervals for healthy adults in the Western Sudanese population. Method: Randomly selected adult Sudanese residents of Al Fashir City who were from the Western Sudan states of Kordofan and Darfur were the subjects of a cross-sectional study conducted in September and October 2018. We recruited 153 participants. After giving their consent, they were evaluated using a questionnaire that collected medical history and demographic information. We used standard techniques to measure blood pressure, body mass index, urea, and creatinine. Kolmogorov-Smirnov tests were used to assess the distributions of the creatinine and urea values, and reference intervals calculated. T-tests were used to investigate differences of mean creatinine and urea levels by sex and age. IBM SPSS Statistics version 25 was used to analyse the data and p ≤ 0.05 was considered significant. Results: Overall, the reference intervals (Mean±1.96*SD) for serum creatinine and urea levels were 0.45-0.92 mg/dL and 7.6-27.9 mg/dL respectively, compared to international reference intervals adopted from the American Board of Internal Medicine (ABIM) serum creatinine (males 0.7-1.3, females 0.5-1.1 mg/dL) and blood urea (17.12-42.8 mg/dL for both sexes) and The Western Sudanese population’s mean serum creatinine and urea levels were, respectively, 0.69 mg/dL and 17.8 mg/dL. Male sex was associated with higher levels of both creatinine and urea (p<0.001). Conclusion: This study documented lower reference intervals for creatinine and urea in the Western Sudanese population.
{"title":"Reference intervals for serum creatinine and urea in the adult western Sudanese population","authors":"M. Mohammed, Ibrahim Abdelrhim Ali, Abdarahiem A. Abeadalla, O. Musa","doi":"10.4314/ssmj.v17i1.2","DOIUrl":"https://doi.org/10.4314/ssmj.v17i1.2","url":null,"abstract":"Introduction: Serum creatinine and urea levels are affected by numerous factors such as ethnicity, environment, age, sex, and anthropometric measurements. The Clinical and Laboratory Standards Institute (CLSI) recommends that each laboratory should establish its own reference intervals for biochemistry and haematology. There are no local reference intervals for serum creatinine and blood urea in Sudan; instead, intervals derived from worldwide research are used. The purpose of this study was to determine the blood urea and serum creatinine reference intervals for healthy adults in the Western Sudanese population. \u0000Method: Randomly selected adult Sudanese residents of Al Fashir City who were from the Western Sudan states of Kordofan and Darfur were the subjects of a cross-sectional study conducted in September and October 2018. We recruited 153 participants. After giving their consent, they were evaluated using a questionnaire that collected medical history and demographic information. We used standard techniques to measure blood pressure, body mass index, urea, and creatinine. Kolmogorov-Smirnov tests were used to assess the distributions of the creatinine and urea values, and reference intervals calculated. T-tests were used to investigate differences of mean creatinine and urea levels by sex and age. IBM SPSS Statistics version 25 was used to analyse the data and p ≤ 0.05 was considered significant. \u0000Results: Overall, the reference intervals (Mean±1.96*SD) for serum creatinine and urea levels were 0.45-0.92 mg/dL and 7.6-27.9 mg/dL respectively, compared to international reference intervals adopted from the American Board of Internal Medicine (ABIM) serum creatinine (males 0.7-1.3, females 0.5-1.1 mg/dL) and blood urea (17.12-42.8 mg/dL for both sexes) and The Western Sudanese population’s mean serum creatinine and urea levels were, respectively, 0.69 mg/dL and 17.8 mg/dL. Male sex was associated with higher levels of both creatinine and urea (p<0.001). \u0000Conclusion: This study documented lower reference intervals for creatinine and urea in the Western Sudanese population. ","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"27 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140450209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stroke is defined as a syndrome of rapidly developing clinical signs of focal or global disturbance of cerebral function with symptoms lasting 24 hours or longer or leading to death with no apparent cause other than of vascular origin. In the current management of stroke in developed countries, stroke units form a vital part of the care pathway. Stroke units save lives, reduce disability, mitigate against complications such as aspiration pneumonitis, facilitate early discharge home with timely interventions by a Multidisciplinary Team. Whilst the burden of stroke has decreased in high income countries, this decrease is lowest in sub-Saharan Africa.
{"title":"Stroke units in low and middle income countries (LMICs) save lives: application of the western model of stroke care","authors":"Omotayo O. Taiwo, Min K. Koko, E. Hakim","doi":"10.4314/ssmj.v17i1.8","DOIUrl":"https://doi.org/10.4314/ssmj.v17i1.8","url":null,"abstract":"Stroke is defined as a syndrome of rapidly developing clinical signs of focal or global disturbance of cerebral function with symptoms lasting 24 hours or longer or leading to death with no apparent cause other than of vascular origin. In the current management of stroke in developed countries, stroke units form a vital part of the care pathway. Stroke units save lives, reduce disability, mitigate against complications such as aspiration pneumonitis, facilitate early discharge home with timely interventions by a Multidisciplinary Team. Whilst the burden of stroke has decreased in high income countries, this decrease is lowest in sub-Saharan Africa.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"34 23","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140449781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"16 Days of Activism Against GBV","authors":"Rita M. Lopidia","doi":"10.4314/ssmj.v16i4.10","DOIUrl":"https://doi.org/10.4314/ssmj.v16i4.10","url":null,"abstract":"No Abstract","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"54 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138598334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The reality of GBV: The story of a South Sudanese girl child in Kenya","authors":"Nyajuok Tongyik Doluony","doi":"10.4314/ssmj.v16i4.9","DOIUrl":"https://doi.org/10.4314/ssmj.v16i4.9","url":null,"abstract":"No Abstract","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"44 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Madoué, Allarehene Noudjalbaye, Saleh Abdelsalam, Kainba Passoret, Diguisna Kadam
Introduction: Maternal mortality remains a major public health problem, particularly in Chad. The aim of this study was to analyse the factors associated with maternal death. Method: This was a retrospective descriptive and analytical study conducted at Bongor Provincial Hospital (BPH) over a 5-year period (2015 to 2020). The study population consisted of all maternity patients who died in this hospital and whose records were complete. The variables studied were epidemiological, clinical, and therapeutic factors. The data were collected and analysed using Sphinx Plus²(V5) software. The Chi-square test was used to compare the variables. A p-value of less than 0.05 was considered significant. Results: We registered 13,758 women with all pathologies, of which 6,349 met the inclusion criteria; 98 of them died (1.5%) giving a Maternal Mortality Rate (MMR) of 1005/100,000 live births. These deaths mainly occurred in women aged between 20 and 24 years (30.6%), who were married (79.6%), housewives (59.2%), multiparous (33.7%), from rural areas (74.5%), uneducated (39.8%) and who had had no prenatal care (60.2%). The main aetiologies reported were: genital haemorrhage (77.5%), infections (63.3%), malaria (61.2%), severe anaemia (39.8%) and dystocia (25.5%). Conclusion: Maternal mortality is a major health problem, and its reduction requires the mobilization of all actors in society and implies good health education, improvement of the quality of prenatal follow-up and emergency obstetric care.
{"title":"Factors associated with maternal deaths in Bongor Provincial Hospital, Chad","authors":"G. Madoué, Allarehene Noudjalbaye, Saleh Abdelsalam, Kainba Passoret, Diguisna Kadam","doi":"10.4314/ssmj.v16i4.3","DOIUrl":"https://doi.org/10.4314/ssmj.v16i4.3","url":null,"abstract":"Introduction: Maternal mortality remains a major public health problem, particularly in Chad. The aim of this study was to analyse the factors associated with maternal death. \u0000Method: This was a retrospective descriptive and analytical study conducted at Bongor Provincial Hospital (BPH) over a 5-year period (2015 to 2020). The study population consisted of all maternity patients who died in this hospital and whose records were complete. The variables studied were epidemiological, clinical, and therapeutic factors. The data were collected and analysed using Sphinx Plus²(V5) software. The Chi-square test was used to compare the variables. A p-value of less than 0.05 was considered significant. \u0000Results: We registered 13,758 women with all pathologies, of which 6,349 met the inclusion criteria; 98 of them died (1.5%) giving a Maternal Mortality Rate (MMR) of 1005/100,000 live births. These deaths mainly occurred in women aged between 20 and 24 years (30.6%), who were married (79.6%), housewives (59.2%), multiparous (33.7%), from rural areas (74.5%), uneducated (39.8%) and who had had no prenatal care (60.2%). The main aetiologies reported were: genital haemorrhage (77.5%), infections (63.3%), malaria (61.2%), severe anaemia (39.8%) and dystocia (25.5%). \u0000Conclusion: Maternal mortality is a major health problem, and its reduction requires the mobilization of all actors in society and implies good health education, improvement of the quality of prenatal follow-up and emergency obstetric care. ","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138601016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: One in 10 babies is born preterm globally. Preterm birth is a major cause of mortality among children under 5 years old especially in sub-Saharan Africa. The socio-economic and clinical characteristics associated with survival of preterm babies admitted in Torit State Hospital are unknown. This study describes these characteristics to inform quality-of-care initiatives to improve preterm neonatal care. Method: A retrospective study was conducted of the medical records of 67 preterm neonates admitted from 1st January to 31st December 2021. Neonatal outcome at discharge was recorded as alive, dead, or absconded while neonatal clinical and maternal socio-economic characteristics were recorded as independent variables. The data were analysed using SPSS Statistics software version 21. Descriptive statistics including frequencies and proportions were calculated. Differences in the proportions were tested using the chi-squared statistic. All significance levels were set at p ≤ 0.05. Results: Of the 67 preterm babies admitted, 47 (70.1%) were discharged alive with a significant increase in body weight, 18 (26.9%) died and the outcomes of two patients were not recorded. The ability to suckle at the time of admission (p=0.01) and having a mother educated to at least primary level (p=0.035) were significantly associated with higher preterm survival. Conclusions: Premature mortality was common among preterm babies who were not able to suckle at the time of admission and lack of formal maternal education was associated with low survival rates. Educating girls to at least primary level can contribute significantly to preterm neonatal survival.
{"title":"Maternal socio-economic and neonatal medical characteristics associated with survival of preterm neonates in Torit State Hospital, South Sudan: a descriptive cross-sectional study","authors":"Beatrice Doki, Pontius Bayo, Ronald Jada","doi":"10.4314/ssmj.v16i4.2","DOIUrl":"https://doi.org/10.4314/ssmj.v16i4.2","url":null,"abstract":"Introduction: One in 10 babies is born preterm globally. Preterm birth is a major cause of mortality among children under 5 years old especially in sub-Saharan Africa. The socio-economic and clinical characteristics associated with survival of preterm babies admitted in Torit State Hospital are unknown. This study describes these characteristics to inform quality-of-care initiatives to improve preterm neonatal care. \u0000Method: A retrospective study was conducted of the medical records of 67 preterm neonates admitted from 1st January to 31st December 2021. Neonatal outcome at discharge was recorded as alive, dead, or absconded while neonatal clinical and maternal socio-economic characteristics were recorded as independent variables. The data were analysed using SPSS Statistics software version 21. Descriptive statistics including frequencies and proportions were calculated. Differences in the proportions were tested using the chi-squared statistic. All significance levels were set at p ≤ 0.05. \u0000Results: Of the 67 preterm babies admitted, 47 (70.1%) were discharged alive with a significant increase in body weight, 18 (26.9%) died and the outcomes of two patients were not recorded. The ability to suckle at the time of admission (p=0.01) and having a mother educated to at least primary level (p=0.035) were significantly associated with higher preterm survival. \u0000Conclusions: Premature mortality was common among preterm babies who were not able to suckle at the time of admission and lack of formal maternal education was associated with low survival rates. Educating girls to at least primary level can contribute significantly to preterm neonatal survival.","PeriodicalId":56200,"journal":{"name":"South Sudan Medical Journal","volume":"117 37","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138599452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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